What is this & the cause & how to cure??

Question #11688

45 days ago

282

What is this & the cause & how to cure?? - #11688

Susm

Dry skin and getting tanning or what I don't know but my body parts getting crack dry and black layer covering my body and and looking like dirt, what to do please let me know..........................

Age: 24

Chronic illnesses: No

Leg

Body

Hand

300 INR (~3.53 USD)

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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

43 days ago

Hi Susm,
Use Cleanser,moisturiser.sunscreen,exfoliating serum.
If you want suggestions for these please message here.
Drink plenty of water.
🛑sunscreen is mandatory
Moisturise well
Follow proper skincare
If no improvement in 2 months
Please do these tests;
Fbs
HbA1c
Thyroid profile
Feel free to ask your doubts
Thank you

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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

39 days ago

Your symptoms indicate severe skin dryness with secondary hyperpigmentation / keratinization. With daily emollients, gentle cleansing, hydration, and nutritional support, skin should improve over 3–6 weeks. Persistent thick, dark, or cracked areas may need dermatologist evaluation for specialized creams or procedures.

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Dr. Nirav Jain

I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.

35 days ago

Hello Susm, thank you for sharing your concern. Here is my advise -
1. Skin care routine - Use a gentle, fragrance-free body wash/soap (like Dove, Cetaphil, Sebamed).
Apply a moisturizer immediately after bath (paraffin, ceramide or urea based). Examples: Cetaphil Moisturizing Cream, Vaseline Intensive Care, CeraVe.
Avoid very hot water baths, use lukewarm water instead.
2. Sun protection - Apply sunscreen SPF 30+ (broad spectrum, non-comedogenic, oil-free) on exposed body parts every day. Some good options - Neutrogena Ultra Sheer Dry touch, Bioderma photoderm AKN mat.
3. Exfoliation - Once or twice a week, use a mild exfoliating scrub (Neutrogena deep clean scrub OR Cetaphil exfoliating cream) or loofah to remove dead skin cells.
4. Diet & lifestyle - Drink at least 2–3 liters of water daily.
Eat fruits, vegetables, nuts, and omega-3 rich foods (flax seeds, walnuts, fish).
Avoid smoking and excessive caffeine.
5. Medical help- If the black patches are thick, itchy, or spreading → could be eczema, ichthyosis, or fungal infection. Please visit a certified dermatologist or a family physician for proper examination and treatment.
Feel free to reach out again.
Regards,
Dr. Nirav Jain
MBBS, DNB D.Fam.Med

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

45 days ago

Hello dear
See pigmentation can be due to either insulin resistance or due to medications or hormones fluctuations like cortisol or glucocorticoid
I am suggesting some tests and medication
Serum tsh
Rbs
HbA1c
Serum cortisol
In addition please follow below instructions
Topical Treatments -Benzoyl Peroxide (2.5–5%)	Kills bacteria and is  anti-inflammatory in action.
Salicylic Acid, Adapalene 0.1% can also be given as additive medications.
2.Clindamycin 1%	Clindac A	,Tretinoin	( if already not taken).
3.Azelaic Acid	10 percent for two weeks.
Niacinamide serum –antiinflammatory in nature
In addition use aloevera - tulsi solution to apply topically for 1 month
In case of no improvement in 1 month, kindly consult dermatologist in person for better clarification
Also share results with the concerned doctor only
Hopefully you recover soon
Regards

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Dr. Varunkumar J

I am an ENT specialist with over 6 years of clincial practice and in this time I have tried to balance hospital work with building my own setup. Currently I work as Consultant at Meridian Hospital Kolathur and also as visiting consultant at VIHAA Hospital Anna Nagar. Along with this I started SCOPE ENT CLINIC in Villivakkam, which is my own space to treat patients with more time n focus. Running a clinic teaches you different kind of responsibility, not only treatment but also trust, making sure patient feels heard and safe. My practice covers a wide range of ENT issues, from common ear infections, sinus problems, throat disorders to more complex surgical cases. I try to focus on giving indiviualised treatment plans, because each patient story is differnt even if the diagnosis sounds similar. Working in multiple hospitals also let me collabrate with other specialities which is important when dealing with complicated ENT cases linked to allergy, pediatrics or even neuro. Founding my own clinic was both challenging and rewarding. Some days are hard, managing staff, handling emergencies, ensuring things run smooth.. but it gave me chance to create an environment where patients get continuity of care. For me ENT is not just about procedures but also education, I try to explain conditions in simple words, guide on prevention and lifestyle changes that can reduce recurrnce. Over these years, what matters most to me is not just how many cases I handled but the connections built with patients and their families. I want to keep growing, keep learning new techniques and stay updated with advances in ENT, but at the same time keep the human touch alive in practice.

44 days ago

Hi Dear Susm,
Kindly check your FBS PPBS HbA1C RFT levels
Use detan packs ,vit D3 supplements,
Adequate hydration
Moisturizers and sunscreens needed to be used
Take care

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Dr. Abhishek Gill

I am a doctor with 5 years total experience, mostly split between Emergency and Obstetrics & Gynaecology—and honestly both keep you on your toes in totally different ways. In the ER, you don’t get time to second-guess much. Things come at you fast—trauma, active bleeding, breathlessness, collapsed vitals—and you learn to think, act, then think again. But in Obs/Gyn, it’s more layered. One moment you’re handling routine antenatal care, the next you're managing obstructed labour at 3am with everything depending on timing. I try not to treat anyone like "just another case." I take proper history—like actual, detailed listening—and then move step by step. Exam, investigations only if needed (not just because), and explaining things clearly to the patient and attenders. Not gonna lie, sometimes I do repeat myself twice or thrice. People are stressed, they don’t hear it all the first time. Communication I’d say is one of my stronger areas, but not in some fancy textbook way. Just knowing *how* to talk, when to pause, when not to overload info. Like with a first-time mother in pain who doesn’t care about medical terms—she just wants to know if her baby’s okay. Those moments taught me more about medicine than most of my exams. I handle postpartum issues, early pregnancy complications, PCOD, menstrual complaints, emergency contraception consults too—bit of everything. And in casualty shifts, I’ve done everything from inserting Ryle’s tubes to managing hypertensive crises. You have to stay sharp. But also know when to slow down and re-evalutate something that doesn’t fit right. Counselling’s part of the job too. Sometimes patients need reassurance more than a prescription. Sometimes they just need honesty, even if the answer isn't simple. I don’t pretend to have all the answers, but I do care enough to find them. Bit by bit. Every single day.

41 days ago

Hello
Pigmentation can be due to various reasons.
DON’T START ANY MEDICINES BEFORE.
Get a consultation with DERMATOLOGIST.
Take care

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

28 days ago

It seems from your description that you might be experiencing a condition known as xerosis, which is a medical term for dry skin, alongside possible hyperpigmentation or some form of dermatitis that’s causing flaking and discoloration. This can be caused by several factors including environmental conditions, such as low humidity or cold weather, overuse of harsh soaps, or not moisturizing the skin adequately. Certain underlying conditions, like eczema or fungal infections, could also contribute to this kind of presentation.
First, analyzing your daily habits is a starting point—make sure you are well-hydrated by drinking plenty of water and minimizing hot showers, as they can strip natural oils from your skin. Use a gentle, fragrance-free soap and opt for lukewarm water instead. When you’re done bathing, pat your skin dry rather than rubbing it harshly, and apply a good moisturizer, preferably one that contains emollients and humectants like glycerin or hyaluronic acid immediately after—while your skin is still slightly damp.
If you notice any other symptoms like itchiness, pain, or spreading areas of darkening or cracks, it could indicate a need to see a dermatologist. Sometimes skin changes can signal underlying systemic issues or infections that need professional treatment. For persistent darkening or cracking that doesn’t improve with over-the-counter treatments in a couple of weeks, a visit to a healthcare provider helps rule out conditions like contact dermatitis, eczema, or lichenification, and they may recommend a prescription-strength cream or other medical interventions.
Avoid prolonged sun exposure, use sunscreen with a high SPF to prevent additional pigmentation if that’s suspected to be part of the problem. A balanced diet with adequate vitamins, especially Vitamin D and fatty acids, can support skin health, so consider your nutrition as well. If the issue persists, further investigation by a professional is crucial to ensure you’re not dealing with a more serious condition that could affect your overall health.

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What is this & the cause & how to cure?? - #11688

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